Flames and smoke are visible in a client's room. The client … | MyMerci
Emergency Response Plan SIPC
Question

Flames and smoke are visible in a client's room. The client is receiving oxygen by nasal cannula and can walk with assistance. Which action should the nurse take first?

Explanation
Rescue comes before alarm, containment, and extinguishing. Oxygen accelerates combustion, so removing the client from the room is the action that protects life first.

In-depth explanation

Quick answer
Move the client out of the room, then close the door behind them.

Why this is correct
The client is in the room where the fire is, and supplemental oxygen makes that space burn faster. Rescue is the first step of the response sequence, and closing the door immediately after adds containment without costing time.

Easy analogy or mental picture
People leave the burning building before anyone looks for the fire extinguisher. The image conveys the ordering and does not mean the other steps are skipped.

Memory hook
Rescue, alarm, contain, extinguish, in that order.

NCLEX decision rule
In a fire, remove people in immediate danger first, then activate the alarm, contain the fire, and extinguish it. Supplemental oxygen raises urgency without changing the order.

Why the other choices are wrong
Shutting off oxygen, pulling the alarm, and using an extinguisher are all genuine steps, but each leaves the client inside the room a little longer.
References
  • [1]
    NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
  • [2]
    OSHA: Fire Safety OverviewU.S. Occupational Safety and Health Administration
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.